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224086 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 358941 Page 1 of 1 ONE CIVIC SQUARE PETTY CASH-BROOKSHIRE GOLF COL�g CARMEL, INDIANA 46032 C/O PAM LISTER CHECK AMOUNT: $25.73 CHECK NUMBER: 224086 CHECK DATE: 9110/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4239040 25 . 73 FOOD & BEVERAGES 011ALIA #206 4 i 55 E. 126TH ST. CARMEL., IN 46033 (317)844-4372 2399 CM 6" SUB BUN WHTE PC 3.E9 F 3939 CM JWSH RYE BRO PC 3 .59 1= 1178 N 04IN WHLWHI PC 3.99 F- 2012 POLriR TONIC WATER PC . '(9 F , 004 POLAR, CLUB SODA PC 39 B CUST MER. NUMBER 10020008370 SC 1345 POLAR CLUB SODA .11—B SC 1344 POLAR TONIC WATER .11—F SC 1055 N 041N WHLWHT 1 .49-F SC 1126 CM JWSH RYE BRD 1 .14-F SC 1126 CM 6" SUB BUN WHTE 1 ,14--F 2004 POLfiR CLUB SODA PC .79 B SC 1345 POLFLR CLUB SODA .11-8 2004 POLAR CLUB SODA PC B Sc 1345 POLAR CL.UB SODA .11- rte* TAX 11 BAI_ 10.36 CASH 11 .00 CHANGE .61 TOTAL_ NUMBER OF ITFMS SOLD 7 9/08/1-. 8:36 AM 0206 03 0032 135 YOUR CASHIER WAS STEP11EN 'YOU SAVED $ 4 , 21 C29fo ON YOUR ORDER TODAY YOUR SAVINGS **** * * COUPON PLUS SAVINGS 4.21 TOTAL. SAVINGS (29X) S 4.21 YOUR SAVINGS THANK 'YOU FOR SHOPPING O ' MALIA CHECK U5; OUT: hrttp://www.omalias.com With your Marsh Fresh Idea Card You saved $121.89 in 2012. You have saved $179.48 in 2013. Marsh Fresh IDEA Card required For all offers. Thank you for Shopp i ns Marsh! VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $10.22 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1207 I O'Malia I 42-390.40 I $10.22 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, September 09, 2013 Director, Brookshi olf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 09/08/13 I O'Malia I Food I $10.22 1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 , 20 Clerk-Treasurer U� d � '17i i [. 126*11H ST. CH �111:L. IN +6033 � ]17):344—373 3711 FD C A `R CO[xTL Z 19 F 3711 r D c .3 `R CO[x(L 2 19 IF 37 l' F O C .3 `RT C0[KlL 2 19 F ***� mx .00 8oL 6.57 CUSTOMER NUM i 14('00 6796 191 **e mx 0 6nL 6 57 O'MnLIF 1;: 6 1755 E. 1267 1 CoRwEL. [w (317)84-1-�J7 � EFT 8EEIT PU I3F 0;�/ '7/13 ^9 29 om O8 CAR[ » XX <<" x3XxXX>8::1 49 TOTAL lRowSo r] ]w om0imT 6.57 REF:61 E l | l VF DEGl 6.57 CHHw .0O TOTAL ^UmBBR' )` IlEmS S0LD ^ 3 8/27/13 Y lM 020(: �i 002'| 123 YUUR lD:R W,3 oSHLE`' THANK' FIN-l'! 'SHOPPING CHECK UG UUT |`ttp///w!ww.nmn�.i as.cnm With yoo' Harsh F,csh Idea Card m. s3"^ j aq�' 9 in 210|Z hove so,od 7�.72 in 2013 wv,,x p,e,» IuEx card requ� ',:'j for o| i vFre,,. Than/ Hou for 0hoppiny Mi3rsh! ["Heiier 8375 E.96th 5t. Indianapolis, IN 46256-#154 (317)585-2400 meijer.com The Meijer Team appreciates your business 09/02/13 Your fast and friendly checkout was provided by Fastlane113 GROCERY 2120057280 DISHWAND RF -2.99 T TOTAL IN 7% Sales Tax .21 TOTAL TAX .21 TOTAL 3.20 PAYMENTS VISA Payment TENDER 3.20 XXXXXXXXXXXX6729 NUMBER OF ITEMS 1' See meijer.com or the Service Desk for current return policy. For additional. savings and details visit mPerks.Meijer.com. II VIII II IIIII I IIIIII11 III I III I 1111111111111111111 A 154 07XK7KOQS Tx:24 Op:564 Tm:113 St:154 11:14:23 UAW Id I16tb WILT I U I:7V UGyJ U JJUIU ICIbU. RULUIIIJ U electronic items,media and items powered by flammable liquid or gas must be made within 30 days. Returns of open electronic items,media and items powered by flammable liquids or gas are subject to additional fees,restrictions or refusal. Items not eligible for return include(but are not limited to):alcohol,tobacco,ammunition,prepaid cards,and open collectorsports cards or blood glucose monitors. Meijer reserves the rightto restrict or refuse returns. Full Return Policy is available at Meijer.com. Return Policy Returns are subjectto lowest sale or promotional pricing,including bundled offers,and will be refunded in the original purchase tender type. Returnswithout receipt may require a valid ID and will be issued a Meijer Merchandise Return Card for the refund value. Meijer stands behind our name;any product with the "Meijer"brand may be returned with orwithout a receipt,provided it is not a state-approved WIC item. We will provide a full refund for all non-WIC approved food items with or without a receipt. ForWIC approved food items we will provide a refund if you have a receiptthatshows the item was not purchased in a WIC transaction. Meijer cannot provide refunds for food items,including produce and formula,which may have been purchased with WIC. Meijerwill honor General Merchandise refunds and exchanges within 90 days of purchase. Returns of electronic items,media and items powered by flammable liquid orgas must be made within 30 days. Returns of open electronic items,media and itame nnvwararl hvflammahla linidrlc nrdac ara U�x�k�u�UA ^� U ~�� � � �2110 E. 116TH STREET CARMEL, IN 16O3:3 (31?)S7S-365B |'RESx IOEe CUSr01-10 *0 00 62 22 37)Z m 0Ww Wm 8R0 pC Z `9 F SC 3316 N OWN WHT URD 1 .49-F 3712 w OWN Wxr 8R0 ;C 2 ��9 p SC 3315 N OWN WHT 8RD 1 ' 9 � -F 37\Z w nWo wxT 8RV pC 2 99 r SC 3316 N OWN WHT NRD 1 �9-F 371 N 0Wo 4m oR0 p 2.99 F SC 3316 N OWN WHT 8RO 1 �9-F TnX 00 8oL 6.00 ' SC 599 SACw C8[DITs ***' TnK 00 8oi 5 ?5 moRSx SUpERmoRx[ 2140 E 116m s-1 ConmEL. /m 16 03 �317)576-3650 EFl CREDlT PU8Cxa3E O8: 1* Hw MC CARD :1 KX;33KXXKXXy7393 nUTH:B7Z*y7 PoYmEwr onUUwT CD VF CREOIT 5 95 CHow6E 00 TOToL wUn8En 8F I1 EM3 3O1-0 ^ � 9/02/13 8: l29 J;Il 001 zi 05 0(133 | |3 YOUR CASHIER uoS FINN YOU ��H[D xuu ��v�u 15 � 81 ( ��� l u . � / � �u'n � �N ��U� ������ TO��\� ^�/p nuu: ��/�uu� TODAY ********** YOUR SHVINGS ****»*x*** FRESH {DFH SAVINGS 5.96 MISC DISCOUNT 05 TOTAL SAVINGS (50t} $ 6.81 ********** YOUR 3ovINGS TU��N ' YOU �M� ���O����N� / / xx"m nuu FOR (SHOPPING �/��� YOUR 11011E080 W61 G80C[R. 311,10E 1931 WE VALUE YOU! CwECK U3 OUT: xttp'//www.morsx.v*+ _______------- w//h yovr Ma,.u` r.'csx IJi�v C*rd You saved $2.'28 iv Z0� YOU 6av» ou,ed $22.96 in 2�l3 wn'sx Fresh IDEA Car-,j revu/rvd For all offers. Thank you for 8hmPpins. Marsh! Be seen U D 00 9 000 P 1,10 o times a month! y N Z 1 I I t t t (7) n D F t Z �� :C) _ ° i> � �' �t ' - � ® - MARI4JAS - O 431 L Carmel Dr. 0 ° Next to Fazolis o -Formerly Uldmate Car Wash- o INCLUDES:SOFT CLOTH ii INCLUDES:WHEEL BRIGHT,CHASSIS BATH, ' p CAR WASH 'RUST INHIBITOR&CLEARCOAT PROTECTANT D 0 X5;.0:0. S1000 Not va0d wflh any'otherlcauats Not valid with any other discounts N Ior offer}:"ExpGe;11.30 13. y or offers,Expires 1 1.30-13.MARIIIJAS. 12 D .99 0 s TIRE&AUTO - w OIL CHANGE �IIIIII t it � I i � t P, �I UP TO 5 OTS 5W20 OR 5W30 OIL AND FILTER.REG.$29.99 N OR$10 OFF ANY OTHER OIL CHANGE. OIL CHANGE SUPPLY FEE S2.50.NOT VALID WITH OTHER DISCOUNTS. SEE MANAGER FOfl DETAILS.EXPIRES 11.15.13.MARIAJAS. #72 ATTENTION CASHIERS:START THIS TAPE 7/20/13 RTUII,L.P.02013 •----®---C--- -- ------�^- ® 0T0 a CM 'CD t Q�tp D s ®O .E a O �s O •----------------------h1----S---- — a 431 L Carmel Dr., ° Next to Fazolis -Formerly Uldmate'Car Wash- ;b D E INCLUDES:SOFT CLOTH ' INCLUDES:WHEEL BRIGHT,CHASSIS BATH, ; ' CAR WASH E RUST INHIBITOR&CLEARCOAT PROTECTANT' z $5,00 10100 Not va0d with any other discounts Not valid with any other discounts F or offers.Expires 11.30-13. or offers.Expires 11.30.13.MARMAS. o _o A W $1 9.99 an P TTREJEAUTD . OIL CHANGE N� III IIII t � r l 11 � � 1 r 3� UP TO 5 OTS 5W20 OR 5W30 OIL AND FILTER.REG.$29.99 OR$10 OFF ANY OTHER OIL CHANGE. OIL CHANGE SUPPLY FEE$2.50.NOT VALID WITH OTHER DISCOUNTS. Q SEE MANAGER FOR DETAILS.EXPIRES 11.15.13.MARIIJAS. 4#72 O A Nf .FyLI. 1 •. A \ . o `3 " " FF YOUR NEXT AD With a 1 Yw'mid,—m tract. Now Caft~s Only.Best...0-1 Only. Not rdW with Spdd Pron Lions a Olha DtsmantL HE VOUCHER NO. WARRANT NO. ALLOWED 20 Petty Cash IN SUM OF $ $15.51 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1207 O'Malia 42-390.40 j $6.57 1 hereby certify that the attached invoice(s), or 1207 Meijer 42-390.40 $2.99 bill(s) is (are) true and correct and that the 1207 I Marsh I 42-390.401 $5.95 materials or services itemized thereon for which charge is made were ordered and received except Thursday, September 05, 2013 Director, Brooksryre Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/27/13 O'Malia Food $6.57 09/02/13 Meijer Food $2.99 09/02/13 I Marsh I Food I $5.95 I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer